Individual provider Active NPI

Leah Kittle, RDN

  • Registered Dietitian
  • Mount Pleasant, SC
National Provider Identifier
1013549732
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1579 Old Rivers Gate Rd
Mount Pleasant, SC 29466-7567
Phone
(865) 207-4676
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

1579 Old Rivers Gate Rd
Mount Pleasant, SC 29466-7567

Mailing address

1579 Old Rivers Gate Rd
Mount Pleasant, SC 29466-7567
Phone (865) 207-4676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250224000725 TX Practitioner - Registered Dietitian Or Nutrition Professional 8224558069 Reassigns benefits to 1 organization
I20260602003002 TN Practitioner - Registered Dietitian Or Nutrition Professional 8224558069 Reassigns benefits to 1 organization
Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nourish, Inc.Group PAC ID 1557724937, 288 clinicians

Practice addresses (Care Compare)

3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Nutrition of Charleston Dietitian, Registered Current Accepting new patients
Gentle Gi Nutrition Dietitian, Registered CurrentSince Apr 23, 2026 Accepting new patients
Nourish, Inc. Dietitian, Registered CurrentSince Dec 14, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

515 S Flower St
#1015
Los Angeles, CA 90071

1390 Market St
Ste 200
San Francisco, CA 94102
Phone (415) 864-4482

8605 Santa Monica Blvd
#320298
West Hollywood, CA 90069

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

1806 Highway 35
Ste 203A
Oakhurst, NJ 07755

5935 Rivers Ave
Ste 101B
North Charleston, SC 29406
Phone (833) 869-1532

800 S Gay St
Knoxville, TN 37929

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

Networks

  • TX HMO D-SNP
  • TX HMO

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1013549732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 OLD RIVERS GATE RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667567",
            "telephone_number": "865-207-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 OLD RIVERS GATE RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667567",
            "telephone_number": "865-207-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTLE",
        "first_name": "LEAH",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.